Reduction rhinoplasty (nasal reduction surgery) is frequently used for the correction of a Western nose, which has an exceedingly high nasal bridge or an excess pointed nasal tip. The surgery entails primarily narrowing the frontal nasal bridge and reducing the lateral height of the nasal bridge and tip. Surgical contents vary along with the patient’s original condition, including nasal bone reduction (corrective osteotomy or shaving osteotomy), hump osteotomy, partial nasal septal cartilage resection, nasal cartilaginous reduction or reconstruction, and even nasal columellar reduction and alar reduction. In brief, the surgery partially removes the excessive bone and cartilaginous tissues to restore the nose to the golden ratio. Nevertheless, attention should be paid to the strength of the peripheral cartilaginous structure and maximally mitigate tissue injuries or excessive modification to avoid functional complications such as nasal obstruction or nasal septal deviation.